Zoloft Breastfeeding Effects On Baby
The antidepressant Zoloft does get into breast milk but the there have been no adverse effects reported. Studies show that about 1-2 of norsertraline the breakdown product of Zoloft are found in breast milk.
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A slight decrease in milk production however this is generally correctable with increased feeds or pumping between feeds fatigue.
Zoloft breastfeeding effects on baby. Zoloft and breastfeeding are considered much safer for your baby than a mommys depression or if a mommy stops nursing. This could delay breastfeeding in infants. Im on my highest dosage of 150 mg all throughout this pregnancy and now while breastfeeding.
While no satisfactory controlled studies on humans have been completed infants born to mothers taking Zoloft have experienced longer than normal hospitalization for respiratory distress apnea seizures vomiting and other complications. Sertraline is a first-line drug for breastfeeding women due to documented low levels of exposure in breastfeeding infants and very few adverse events described in case reports. Its important to monitor the weight gain and incase of anything you should be ready to change the dosage to limited amounts.
Two side effects possibly related to sertraline in breastmilk have been reported to the Australian Adverse Drug Reaction Advisory Committee. Zoloft is in pregnancy category C because negative effects on pregnancy andor fetal develop have not been ruled out. Weve never had any issues and honestly its something that I need to take in order to be a functioning wifemotherteacher.
However there are no long-term negative effects. Potential side effects of Zoloft include. It offers immunological and antioxidant protection and is associated with a reduced likelihood of various diseases including asthma diarrhea ear infections pneumonia and sudden infant death syndrome Ip et al.
It is generally agreed that taking Zoloft while breastfeeding does not have an adverse effect on nursing infants but there havent yet been any long-term studies so the issue is still up for some debate. While theres no evidence that Zoloft exposure through breastfeeding can cause long-term effects on children there is substantial evidence that maternal stress and anxiety can cause long-term cognitive social and emotional effects on children even into adulthood. Automatically the babys weight would reduce thus resulting in the mothers depression.
In studies no adverse effects on the babies were noted. Before I started the Zoloft I was taking 2-4 mg of xanex a day after some time I was not taking any and my life was normal again. Sertraline HCl is often prescribed to treat depression and anxiety.
In most cases women already taking sertraline should be advised to breastfeed and continue the medication. Routine pediatric care is appropriate monitoring for breastfed. Effects in Breastfed Infants.
Zoloft sertraline HCl is an SSRI antidepressant manufactured by Pfizer. Effects in Breastfed Infants. The amount of sertraline or Zoloft in the blood stream is just too small to cause abnormal effects in infants.
If the baby shows less than expected weight gain it might be prudent to discontinue the drug and change to another SSRI. Although sertraline Zoloft and paroxetine Paxol concentrations are not detectable in infants sera fluoxetine Prozac and citalopram Celexa do have detectable levels. Two side effects possibly related to sertraline in breastmilk have been reported to the Australian Adverse Drug Reaction Advisory Committee.
Benign neonatal sleep myoclonus occurred in one 4-month-old infant and agitation that spontaneously resolved was reported in another infant2223. This is my third son and third pregnancybreastfeeding while taking Zoloft. In an unmonitored survey only ten percent of mothers indicated any withdrawal symptoms irritability uncontrollable crying and sleeping disorders in.
Depressed mothers in part do not breastfeed because of their concern about potentially negative effects of antidepressants on their infants. Effects on Pregnancy. Based on the current literature neither routine serum sampling nor genotyping is warranted for breastfeeding mothers taking sertraline andor their infants.
We recommend to begin with low doses and to slowly increase the dose up with careful monitoring of the newborn for adverse effects irritability poor feeding or uneasy sleep especially if the child was born premature or had low weight at birth. If you are taking sertraline at the time of delivery your baby may have some difficulties for the first few days of life. Breastmilk provides an optimal source of nutrition for infants.
Once lactation is established Zoloft may not affect a mothers ability to nurse. Benign neonatal sleep myoclonus occurred in one 4-month-old infant and agitation that spontaneously resolved was reported in another infant2223. Your baby may have jitteriness vomiting constant crying increased muscle tone irritability altered sleep patterns tremors difficulty eating and regulating.
Dered a safe option in breastfeeding although it is more commonly associated with withdrawal reactions including gastrointestinal disturbances dizziness headache insomnia anxiety and flu-like symptoms and antimuscarinic side effects. Sertraline has a higher degree of protection or tolerability than other antidepressants which are known for causing excessive drowsiness dizziness blurred vision and other unpleasant side effects. It does take some time to find the right dose and the side effects to go away but stay with it.
Although the extra Zoloft sertraline dosage may not impact the baby it would be wise to use previously frozen breast milk for now and wait. Are also two reports of excessive somnolence decreased feeding and weight loss in breastfed infants. The major theoretical concern however lies in the fact that some babies will rarely gain weight faster especially when they are breastfed by mothers who use Zoloft.
Sertraline therapy may be needed for several weeks before beneficial effects are detected. It should not be given concomitantly with erythromycin or fluconazole. The amounts transmitted into the babys milk are quite small.
Zoloft is a great drug I have had panic attacks and anxiety for years and they went away after being on Zoloft and xanex as needed. Learn about how sertraline works potential side effects.
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